Effect of a Long-Term Corrective Exercises With Using Brace on Cobb Angle and Postural Control of a Girl With Adolescence Idiopathic Scoliosis

Abstract

Purpose: Scoliosis is a three-dimensional deformity of the spine in which the resulting imbalance accompanied by the changes in muscle and nervous components can harm the postural control. Various treatments have been suggested so far to correct scoliosis, in which using corrective exercises along with brace are essential to limit the growing curvature, improve spine stability and postural control, and reduce the degree of curvature. Methods: Our case was a 14-year-old girl who had a 40-degree thoracic curve (T6 to T11) toward the right and a 50-degree lumbar curvature (T12 to L4) toward the left. To evaluate her scoliosis, we took side view radiography for 4 to 6 months. Also, we used balance master posturography to assess the patient's postural control before and after the intervention. The patient's treatment process included a long-term implementation of a corrective exercise protocol in 3 phases plus using the Milwaukee brace. Results: The Cobb angle in the kyphosis curve showed a 15-degree improvement. Also, the Cobb angle showed a 32-degree correction in the thoracic curve and a 30-degree reduction in the lumbar curve. A significant improvement was observed in all of the tests of postural control, indicating improved balance and postural control of the subject during corrective exercises. Conclusion: Simultaneous using the brace and long-term corrective exercises with emphasis on the improvement of postural control could be useful in improving the scoliosis curves in an adolescent girl with idiopathic scoliosis.

The Effectiveness of Schroth vs SEAS Exercise Methods for Correcting Idiopathic Scoliosis in Adolescents: A Systematic Review

“…In general, researchers have recommended the use of Corrective Exercises (CE), brace with CEs, and surgery for deflections of 10-25, 25-45, and above 45 degrees, respectively [12]. The side effects of surgery and the fear created in the person with scoliosis caused the use of a brace and CEs [13,14], which are the most widely used non-invasive method among researchers, families, and patients [15]. However, prolonged administration of brace without CEs causes a weakness in the muscle groups of the spine [11,16].…”

Core Stabilization Exercises vs. Schroth's Three Dimensional Exercises to Treat Adolescent Idiopathic Scoliosis: A Systematic Review

“…Conversely, wearing braces for a long time without exercise causes muscle weakness, rigidity, development of a flat back, and even the adolescents’ unwillingness to continue the treatment process ( 9 ). Consequently, corrective exercises are the primary and most suitable choice before alternative methods for remedying AIS ( 1 , 10 , 11 ). Meanwhile, Schroth exercises (SE) (among scoliosis-specific exercises) ( 7 ) and core-stabilization exercises (CE) (among general exercises) ( 1 ) have become more prominent than other exercise methods due to their promising results ( 1 , 7 ).…”

Flat Feet in Children: The State of the Problem and Pedagogical Technology of Correction

“…The importance of the correction process comes from parents' and teenagers' tendency to lean towards conservative approaches, e.g. the use of physical exercises, when engaged in correcting LS problems [9]. It should be emphasized here that this approach is certainly effective in combination with other methods of correction, in particular with therapeutic swimming.…”